HSN IndicatorsHSN Indicators

Children Birth to FiveChildren Birth to FiveOctober 2006October 2006

Glossary of termsGlossary of terms• Number - Actual number of reported cases

• Percent - The percent of the total number of cases compared to the population - ex: 1 out of 4 = 25%

• Rate - How many you would expect, given your actual number, based on an agreed upon higher population. For example, most health related ‘rates’, compare all actual numbers to a population of 100,000. Rates are used to compare numbers between small groups and large groups.

30 = 64.6 = 6,39546,500 100,000 9,900,000

• The above example changes 30 cases in Hillsdale County with a population of 46,500, to a rate of 64.6 cases per 100,000. This allows comparison to a larger population rate. Michigan, with 6,395 actual cases, has the same rate – 64.6

Is your data significant?Is your data significant?

3% exceeds 2% by 50%, not by 1%

ImmunizationsImmunizations

Complete immunizations, 19-36 MonthsComplete immunizations, 19-36 MonthsPercent CompletePercent Complete

Source: Community Health Agency/MCIRSource: Community Health Agency/MCIR

66 65

48

65 66

56

71 6963

0

10

20

30

40

50

60

70

80

% C

ompl

ete

2003 2004 2005

BranchHillsdaleMichigan

Percent of Hillsdale mothers without a Percent of Hillsdale mothers without a high school diplomahigh school diploma

Source: Michigan birth filesSource: Michigan birth files

05

10152025303540

Perc

ent

2000 2001 2002 2003 2004

Mom-HDMom-BRMom-MI

Percent of Hillsdale fathers without a Percent of Hillsdale fathers without a high school diplomahigh school diploma

Source: Michigan birth filesSource: Michigan birth files

05

10152025303540

Perc

ent

2000 2001 2002 2003 2004

Dad-HDDad-BRDad-MI

Abuse and neglect Abuse and neglect (Studied vs. substantiated)1999-2004(Studied vs. substantiated)1999-2004

Source: Kids Count Data BooksSource: Kids Count Data Books

0200400600800

100012001400160018002000

Num

ber

1999 2000 2001 2002 2003 2004Calendar Year

HD - Studied

HD - Substantiated

Branch - Studied

Branch - Substantiated

Number of children in Hillsdale County, Number of children in Hillsdale County, age 0-5, who were victims of domestic age 0-5, who were victims of domestic

violence, 2002-2005violence, 2002-2005Source:Source: MSP Uniform Crime ReportsMSP Uniform Crime Reports

Victims of Domestic violence Hillsdale Branch

2002- 2 12003- 2 22004 2 0

Number of children in Hillsdale County Number of children in Hillsdale County ages 0 to 18 housed by Domestic ages 0 to 18 housed by Domestic

Violence Shelter, 1996-2005Violence Shelter, 1996-2005Source: Domestic HarmonySource: Domestic Harmony

48 48 55 5564

36

81

48 48

0

20

40

60

80

100

120

140

Num

ber

1996-97 1997-98 1998-99 1999-00 2000-01 2001-02 2002-3 2003-4 2004-5

Number of resident nights provided for Number of resident nights provided for children ages 0 to 18 by Domestic children ages 0 to 18 by Domestic

Violence Shelter, 1996-2005Violence Shelter, 1996-2005Source: Domestic HarmonySource: Domestic Harmony

1331

545

1059

762 711556

1066

807 797

0

200

400

600

800

1000

1200

1400

1600

Num

ber

1996

-97

1997

-98

1998

-99

1999

-00

2000

-01

2001

-02

2002

-3

2003

-4

2004

-5

FIA Foster Care, youth under 18, FIA Foster Care, youth under 18, 1997-2005 - averages1997-2005 - averages

Source: DHS Website PUB 170Source: DHS Website PUB 170

45 43

59

37

2530

2719

0

10

20

30

40

50

60

70

Num

ber

1997

1998

1999

2000

/01

2001

/02

2002

/03

2003

/04

2004

/05

Poverty estimates for Poverty estimates for Hillsdale County children age 0 to 5Hillsdale County children age 0 to 5

Source: U.S CensusSource: U.S Census 1990 & 20001990 & 2000

1990 1993 1995555

1997 2000

Total Children 0-5

3296 3669 3598 3554 3643

Number in Poverty

685 919 792 596 428

Percentage in Poverty

20.8% 25% 22.0% 16.8% 11.8%

Pregnancy & Prenatal CarePregnancy & Prenatal Care

Number of Hillsdale CountyNumber of Hillsdale Countybirths, Medicaid births 1994-2004births, Medicaid births 1994-2004

Source: MDCH Birth FilesSource: MDCH Birth Files

0

100

200300

400

500

600700

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

% Medicaid 1999 -29% , 2004 - 43% MedicaidNon Medicaid

Percent of mothers who report Percent of mothers who report smoking while pregnant smoking while pregnant

Michigan/Branch/Hillsdale Co.Michigan/Branch/Hillsdale Co.Source: Michigan Birth FilesSource: Michigan Birth Files

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

Perc

ent

19951996

19971998

19992000

20012002

20032004

Hillsdale %Branch %Mich. %

Adequacy of Prenatal Care during Adequacy of Prenatal Care during pregnancy –Hillsdale/Branch/MIpregnancy –Hillsdale/Branch/MI

Source: Michigan Birth FilesSource: Michigan Birth Files

0

20

40

60

80

100

1997 1998 1999 2000 2001 2002 2003 2004

Based on Kessner Prenatal Care Index HillsdaleBranchMI

No Pre-natal Care as a % of births – No Pre-natal Care as a % of births – Hillsdale/Branch/MIHillsdale/Branch/MISource: Michigan Birth FilesSource: Michigan Birth Files

00.20.40.60.8

11.21.41.61.8

2

19971998

19992000

20012002

20032004

HillsdaleBranchMichigan

Infant Mortality – Hillsdale County 3 year Infant Mortality – Hillsdale County 3 year moving average (1994-2004)with Branch/MImoving average (1994-2004)with Branch/MI

Source: Michigan birth filesSource: Michigan birth files

0

2

4

6

8

10

12

Ave.

Inf

ant D

eath

Ra

te

1994

-6

1995

-7

1996

-8

1997

-9

1998

-00

1999

-01

2000

-02

2001

-03

2002

-04

HillsdaleBranchMichigan

Infant deaths and Prenatal Care Infant deaths and Prenatal Care Statistics – Hillsdale CountyStatistics – Hillsdale County

Source: Michigan Birth FilesSource: Michigan Birth Files

46

44

49

37

77

39

512

56

48

32

29

40

48

29

07

37

010203040506070

Num

ber

1997 1998 1999 2000 2001 2002 2003 2004

Infant DeathsNo PNC< 6 PNC Visits

Deaths of children ages 0 to 18, Deaths of children ages 0 to 18, Hillsdale County, 1997-04Hillsdale County, 1997-04

Source: MDCH Death FilesSource: MDCH Death Files

3

7

10

2

68

9

4

13

8

4

12

8

6

14

4

7

11

5 5

10

79

16

02468

1012141618

1997 1998 1999 2000 2001 2002 2003 2004

MaleFemaleTotal

Branch vs. Hillsdale vs. MI Branch vs. Hillsdale vs. MI Abnormal conditions of newbornAbnormal conditions of newborn

(Including; Anemia, birth injury, Fetal Alcohol Syndrome, and (Including; Anemia, birth injury, Fetal Alcohol Syndrome, and seizures)seizures)

Source: Michigan Birth FilesSource: Michigan Birth Files

2.9

6.85.4 4.6

85.34.3

13.1

5.3 4.9

13.2

5.6 4.4

11.4

5.8

0

5

10

15

20

25

Rat

e/10

00

2000 2001 2002 2003 2004Birth year

BranchHillsdaleMichigan

WIC enrollment, Hillsdale/Branch Counties, WIC enrollment, Hillsdale/Branch Counties, 2002/3 to 2004/052002/3 to 2004/05

Source: MDCH WIC program dataSource: MDCH WIC program data

203268

700 800

248 297

783 887

258336

8231000

0

200

400

600

800

1000

1200

1400

Num

ber

2002-03 2003-04 2004-05

Women-HD

Women-BR

Kids-HD

Kids-BR

Conclusions – Birth to 5Conclusions – Birth to 5• No prenatal care as a % of births

- Hillsdale more than 20 higher than MI - More than double Branch County

• Moms who report smoking while pregnant- HD is 62% higher than MI

• No HS diploma for parents - HD dads 78% > than MI with no HS Diploma-- HD moms 34% > than MI with no HS Diploma

• Only 12.8% of HD adults >25 have a college degree compared with 21.8% in Michigan –(US Census data)

Conclusions – Birth to 5 - Conclusions – Birth to 5 - ContinuedContinued

• Current 3 year infant mortality rate (2002/04) is less than half of the Michigan Branch County rates

• Children ages 19-36 months are compliant for immunizations at a 10% higher level than children statewide (69% vs. 63%)

• The Classification ‘Abnormal Conditions of Newborn’ – needs more in-depth study as the percent for Hillsdale is much higher than the percent for Michigan (11.4% vs. 5.8%)